Pub Date : 2023-07-01DOI: 10.33545/surgery.2023.v7.i3a.997
Khaled Hamada Khalifa, M. I. Eleissawy, Abd Elmoteleb Effat Ebeid, M. Elheniedy
Leg ulceration affects approximately one out of every five patients with chronic venous insufficiency at some point, and many people experience recurrent ulceration episodes. There are two classifications for venous disorders: The classification of CEAP & the revised venous clinical severity score (r-VCSS). The duplex ultrasound is the gold standard diagnostic tool for chronic venous ulcers. There are many treatment options for chronic venous ulcer including: Compression treatment, superficial vein surgery (stripping or ligation of GSV) in case of truncal reflux, injection of autologous platelet-rich plasma and Perforator vein (PV) interruption procedures either surgically (SEPS) or with foam sclerotherapy. Foam sclerotherapy with ultrasound guidance has been used extensively to treat primary and recurrent superficial venous conditions. Ineffective perforator veins can be treated with sclerotherapy. Platelet rich plasma is widely used on the wound surface or injected in wound edges in chronic ulcers.
{"title":"Chronic venous ulcers with different approaches for treatment","authors":"Khaled Hamada Khalifa, M. I. Eleissawy, Abd Elmoteleb Effat Ebeid, M. Elheniedy","doi":"10.33545/surgery.2023.v7.i3a.997","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i3a.997","url":null,"abstract":"Leg ulceration affects approximately one out of every five patients with chronic venous insufficiency at some point, and many people experience recurrent ulceration episodes. There are two classifications for venous disorders: The classification of CEAP & the revised venous clinical severity score (r-VCSS). The duplex ultrasound is the gold standard diagnostic tool for chronic venous ulcers. There are many treatment options for chronic venous ulcer including: Compression treatment, superficial vein surgery (stripping or ligation of GSV) in case of truncal reflux, injection of autologous platelet-rich plasma and Perforator vein (PV) interruption procedures either surgically (SEPS) or with foam sclerotherapy. Foam sclerotherapy with ultrasound guidance has been used extensively to treat primary and recurrent superficial venous conditions. Ineffective perforator veins can be treated with sclerotherapy. Platelet rich plasma is widely used on the wound surface or injected in wound edges in chronic ulcers.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"9 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83515700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.33545/surgery.2023.v7.i2a.985
LM Lumban Gaol, I. Fadhila, M. Anita
Background: A minimally invasive surgery such as video-assisted thoracic surgery (VATS) has been used for diagnostic and therapeutic procedure in children for the last decade. This study described the VATS surgical technique used in the treatment of pediatric thoracic cases and highlighted the benefit of surgical treatment for thoracic problems in pediatric, mainly in empyema thoracis, pneumothorax, and congenital diaphragmatic hernia. Result: We used thoracoscopic approach, which is video-assisted thoracic surgery (VATS) as the surgical approach for cases such as recurrent primary spontaneous pneumothorax (PSP), recurrent empyema thoracis, and congenital diaphragmatic hernia (CDH) in our institution. All children received general anaesthesia. Selective ventilation of the left or right bronchus was used to allow ipsilateral lung collapse for better visualization. The patient was positioned in swimmer position or lateral decubitus position with the ipsilateral side up and in a slight reverse Trendelenburg position. A 5 mm incision was made on the ipsilateral of the apex of scapula, and a 5 mm trocar was used. For empyema thoracis we used two trocars, which were 5 mm for camera and 3 mm trocar. The fibrotic tissue was excised and the pleural space was debrided. In recurrent pneumothorax case, we used the 5mm trocar for the camera. An fibrotic tissue excision was done to facilitate better drainage for the chest tube. We used the VATS approach for the CDH case in a full-term neonates, using 5 mm and 3 mm trocars with low flow insufflation. Conclusion: The use of minimally invasive surgery such as video-assisted thoracoscopic surgery can be a valuable choice in the management of selected thoracic conditions. There is evidence that VATS provides an advantage compared to thoracotomy. It is beneficial to minimalized the surgical wound and shortened the time of operation.
{"title":"The benefits of VATS technique for diagnostic and treatment of paediatric thoracic problems","authors":"LM Lumban Gaol, I. Fadhila, M. Anita","doi":"10.33545/surgery.2023.v7.i2a.985","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i2a.985","url":null,"abstract":"Background: A minimally invasive surgery such as video-assisted thoracic surgery (VATS) has been used for diagnostic and therapeutic procedure in children for the last decade. This study described the VATS surgical technique used in the treatment of pediatric thoracic cases and highlighted the benefit of surgical treatment for thoracic problems in pediatric, mainly in empyema thoracis, pneumothorax, and congenital diaphragmatic hernia. Result: We used thoracoscopic approach, which is video-assisted thoracic surgery (VATS) as the surgical approach for cases such as recurrent primary spontaneous pneumothorax (PSP), recurrent empyema thoracis, and congenital diaphragmatic hernia (CDH) in our institution. All children received general anaesthesia. Selective ventilation of the left or right bronchus was used to allow ipsilateral lung collapse for better visualization. The patient was positioned in swimmer position or lateral decubitus position with the ipsilateral side up and in a slight reverse Trendelenburg position. A 5 mm incision was made on the ipsilateral of the apex of scapula, and a 5 mm trocar was used. For empyema thoracis we used two trocars, which were 5 mm for camera and 3 mm trocar. The fibrotic tissue was excised and the pleural space was debrided. In recurrent pneumothorax case, we used the 5mm trocar for the camera. An fibrotic tissue excision was done to facilitate better drainage for the chest tube. We used the VATS approach for the CDH case in a full-term neonates, using 5 mm and 3 mm trocars with low flow insufflation. Conclusion: The use of minimally invasive surgery such as video-assisted thoracoscopic surgery can be a valuable choice in the management of selected thoracic conditions. There is evidence that VATS provides an advantage compared to thoracotomy. It is beneficial to minimalized the surgical wound and shortened the time of operation.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91380320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A case report of kissing ulcers, post-trauma","authors":"Meriem Gridda, Mohamed Anejar, Mohamed Benlahsen, Meriem Ainane, Younes Sadqi, M. Absi","doi":"10.33545/surgery.2023.v7.i2a.988","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i2a.988","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74174522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.33545/surgery.2023.v7.i2a.996
Dr. Arvind Ghanghoria, Dr. Ramendra Gurjar, Dr. Abhay Brahamane, D. G. Garg
The ciliated cysts are a rare congenital lesion developed from the primitive anterior intestine. The ciliated cysts essentially supra-diaphragmatic and located in the bronchial tree, the esophagus, the mediastinum and sublingual. When the cyst is infra diaphragmatic, it’s usually located in the liver especially in medial segments (IV, V, VIII). It can be located in the pancreas as well. It’s location in the gall bladder is exceptional. Many a times it’s a incidental finding. Cystic lesion in gallbladder needs to be operated for symptomatic relief as well for histopathological diagnosis
{"title":"A rare case of ciliated foregut cyst of gall bladder","authors":"Dr. Arvind Ghanghoria, Dr. Ramendra Gurjar, Dr. Abhay Brahamane, D. G. Garg","doi":"10.33545/surgery.2023.v7.i2a.996","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i2a.996","url":null,"abstract":"The ciliated cysts are a rare congenital lesion developed from the primitive anterior intestine. The ciliated cysts essentially supra-diaphragmatic and located in the bronchial tree, the esophagus, the mediastinum and sublingual. When the cyst is infra diaphragmatic, it’s usually located in the liver especially in medial segments (IV, V, VIII). It can be located in the pancreas as well. It’s location in the gall bladder is exceptional. Many a times it’s a incidental finding. Cystic lesion in gallbladder needs to be operated for symptomatic relief as well for histopathological diagnosis","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79360132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.33545/surgery.2023.v7.i2a.992
Dr. Sanjay Changole, D. J. B. Hedawoo, Dr. Kishor Dukare, Dr. Asmita Dhurve, Dr. Maheshkumar Soni, Dr. Vipin Kursunge, Dr. Nayan Bonde
Background: Head injury is significant public health problem and it is one of leading causes of death worldwide. Our aim of this study is to study various patterns, epidemiological aspects, radiological findings and treatment modalities of head injury. Material and Method: A total of 250 cases of head injuries satisfying inclusion criteria were included in the study using convenience non-random sampling method reporting period from October 2020 to November 2022 attending Casualty of Trauma care center of Tertiary Care hospital of Central India. Patients were observed for their outcome and appropriate statistical procedure was performed. Results: Majority of patients reach hospitals by around 1-3 hours (43.2%) followed by <1 hour (28%). Majority of patients had road traffic accident (62%) followed by H/O fall. (25.2%), assault (8.4%) and others (4.4%). Majority of patients had mild GCS score (62%) followed by moderate (21.2%) and severe among 42 (16.8%) patients. Majority of patients managed conservatively (81.2%) followed by operative procedures. (18.8%). Majority of patients survived with minimal or no disability 176(70.4%) while some patients survived with Moderate to severe disability are 38(15.2%) and 31 patients (12.4%) lost their life after head injury. Conclusion: The study showed that most head injury victims, brought to a tertiary care hospital, were due to road traffic accidents. This emphasizes on a need to develop preventive measures like awareness about traffic rules, the use of seat belts and helmets, an improved construction and the maintenance of the roads, better traffic monitoring, the prevention of drunken driving amongst the automobile drivers, and increased road traffic sense in the road.
{"title":"Head injury patterns and outcome at tertiary care center in central India: A prospective observational study","authors":"Dr. Sanjay Changole, D. J. B. Hedawoo, Dr. Kishor Dukare, Dr. Asmita Dhurve, Dr. Maheshkumar Soni, Dr. Vipin Kursunge, Dr. Nayan Bonde","doi":"10.33545/surgery.2023.v7.i2a.992","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i2a.992","url":null,"abstract":"Background: Head injury is significant public health problem and it is one of leading causes of death worldwide. Our aim of this study is to study various patterns, epidemiological aspects, radiological findings and treatment modalities of head injury. Material and Method: A total of 250 cases of head injuries satisfying inclusion criteria were included in the study using convenience non-random sampling method reporting period from October 2020 to November 2022 attending Casualty of Trauma care center of Tertiary Care hospital of Central India. Patients were observed for their outcome and appropriate statistical procedure was performed. Results: Majority of patients reach hospitals by around 1-3 hours (43.2%) followed by <1 hour (28%). Majority of patients had road traffic accident (62%) followed by H/O fall. (25.2%), assault (8.4%) and others (4.4%). Majority of patients had mild GCS score (62%) followed by moderate (21.2%) and severe among 42 (16.8%) patients. Majority of patients managed conservatively (81.2%) followed by operative procedures. (18.8%). Majority of patients survived with minimal or no disability 176(70.4%) while some patients survived with Moderate to severe disability are 38(15.2%) and 31 patients (12.4%) lost their life after head injury. Conclusion: The study showed that most head injury victims, brought to a tertiary care hospital, were due to road traffic accidents. This emphasizes on a need to develop preventive measures like awareness about traffic rules, the use of seat belts and helmets, an improved construction and the maintenance of the roads, better traffic monitoring, the prevention of drunken driving amongst the automobile drivers, and increased road traffic sense in the road.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81561289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.33545/surgery.2023.v7.i2a.995
Dr. Harish R, Dr. Hari Prasath, Dr. Abdul Majeed
Background: Laparoscopic cholecystectomy has replaced open cholecystectomy as the preferred treatment for symptomatic gallbladder stones. However, a certain percentage of laparoscopic cases require conversion to open surgery. This study aimed to evaluate the conversion rate and identify the factors associated with this conversion. Methods: A retrospective analysis was conducted on patients who underwent laparoscopic cholecystectomy for cholelithiasis at a medical college and hospital over a 12 month period. Demographic data, clinical details, laboratory investigations, surgical indications, and intraoperative findings were collected and analyzed. Statistical analysis was performed using SPSS software. Results: A total of 50 patients were included in the study. The mean age was 44.26 years, with the majority in the 41-50 age group. Females constituted 70% of the cases. Higher BMI, male gender, the presence of diabetes, and a thickened gallbladder wall were identified as factors associated with an increased risk of conversion to open cholecystectomy. The overall conversion rate was 10%, with adhesions and bleeding being the main reasons for conversion. Conclusion: This retrospective study provides insights into the conversion rate and associated factors in laparoscopic cholecystectomy. Male gender, higher BMI, the presence of diabetes, and a thickened gallbladder wall were found to increase the likelihood of conversion to open surgery. These findings highlight the importance of careful patient selection, preoperative assessment, and informed consent discussions to optimize surgical outcomes and minimize the need for open procedures. Further research with larger sample sizes is recommended to validate these findings.
{"title":"To study the conversion rate of laparoscopic cholecystectomy to open cholecystectomy and its causes","authors":"Dr. Harish R, Dr. Hari Prasath, Dr. Abdul Majeed","doi":"10.33545/surgery.2023.v7.i2a.995","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i2a.995","url":null,"abstract":"Background: Laparoscopic cholecystectomy has replaced open cholecystectomy as the preferred treatment for symptomatic gallbladder stones. However, a certain percentage of laparoscopic cases require conversion to open surgery. This study aimed to evaluate the conversion rate and identify the factors associated with this conversion. Methods: A retrospective analysis was conducted on patients who underwent laparoscopic cholecystectomy for cholelithiasis at a medical college and hospital over a 12 month period. Demographic data, clinical details, laboratory investigations, surgical indications, and intraoperative findings were collected and analyzed. Statistical analysis was performed using SPSS software. Results: A total of 50 patients were included in the study. The mean age was 44.26 years, with the majority in the 41-50 age group. Females constituted 70% of the cases. Higher BMI, male gender, the presence of diabetes, and a thickened gallbladder wall were identified as factors associated with an increased risk of conversion to open cholecystectomy. The overall conversion rate was 10%, with adhesions and bleeding being the main reasons for conversion. Conclusion: This retrospective study provides insights into the conversion rate and associated factors in laparoscopic cholecystectomy. Male gender, higher BMI, the presence of diabetes, and a thickened gallbladder wall were found to increase the likelihood of conversion to open surgery. These findings highlight the importance of careful patient selection, preoperative assessment, and informed consent discussions to optimize surgical outcomes and minimize the need for open procedures. Further research with larger sample sizes is recommended to validate these findings.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76074013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.33545/surgery.2023.v7.i2a.989
Fuzeil Dhebar, Dr.Nida Khan
{"title":"A hospital based observational study to evaluate the common etiological factor related to small bowel obstruction in adult patients","authors":"Fuzeil Dhebar, Dr.Nida Khan","doi":"10.33545/surgery.2023.v7.i2a.989","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i2a.989","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74640762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Short-term clinical and paraclinical evaluation of the treatment of benign prostatic hypertrophy by phytotherapy with Plantago major and Solanum aculeastrum","authors":"Munyantwari Ae, Swedi Me, Kibonge Ma, Saleh Mj, Tsongo Vs, Tshilombo Kf, Odimba Be, Bakary As, Banza Cl, Arung Kw","doi":"10.33545/surgery.2023.v7.i2a.990","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i2a.990","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89310663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.33545/surgery.2023.v7.i2a.993
Dr. Ritvik Jaykar, Dr. Sneha Deshmukh, Dr. Sagar Sawant, Dr. Nitin Nalatwadmath
Peripheral vascular disease is circulation disorders that affect blood vessels outside of the heart and brain. Smoking tobacco is the main culprit for PVD. Management of atherosclerosis plays an important role in adult medical care. The objective of present study was to determine cardiovascular comorbidities associated with different stages of peripheral vascular disease and current use of pharmacological cardiovascular risk reducing therapy among men and women with the disease. This study was conducted by random selection of 60 cases with Peripheral Arterial disease of the lower extremities admitted to surgical wards of our tertiary care Centre done during the period from August 2020 to August 2022. The present study of chronic lower limb ischemia. TAO and Atherosclerosis are the etiologies for ischemia in these cases, with atherosclerosis being more common of the two. TAO presented at a younger age group whereas atherosclerosis presented in the older age group.
{"title":"Study of clinical profile of peripheral vascular disease in department of surgery","authors":"Dr. Ritvik Jaykar, Dr. Sneha Deshmukh, Dr. Sagar Sawant, Dr. Nitin Nalatwadmath","doi":"10.33545/surgery.2023.v7.i2a.993","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i2a.993","url":null,"abstract":"Peripheral vascular disease is circulation disorders that affect blood vessels outside of the heart and brain. Smoking tobacco is the main culprit for PVD. Management of atherosclerosis plays an important role in adult medical care. The objective of present study was to determine cardiovascular comorbidities associated with different stages of peripheral vascular disease and current use of pharmacological cardiovascular risk reducing therapy among men and women with the disease. This study was conducted by random selection of 60 cases with Peripheral Arterial disease of the lower extremities admitted to surgical wards of our tertiary care Centre done during the period from August 2020 to August 2022. The present study of chronic lower limb ischemia. TAO and Atherosclerosis are the etiologies for ischemia in these cases, with atherosclerosis being more common of the two. TAO presented at a younger age group whereas atherosclerosis presented in the older age group.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76603657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.33545/surgery.2023.v7.i2a.994
D. Goutham, Dr. Najeem Fazil, Dr. Natasha Mathias
Introduction: Once patients present with pain in the right lower quadrant, one of the most common surgical conditions that they have to treat is acute appendicitis. Our aim is to study the value of preoperative C - reactive protein and total leucocyte count in diagnosing acute appendicitis and to correlate its value in grading of acute appendicitis as compared to Histopathological reports. Material and Methods: This is hospital based retrospective comparative study conducted in the Department of General Surgery at Yenepoya Medical College and Hospitals, Mangalore, a period of 5 years from, 2014-2019, to evaluate the accuracy of total leukocyte count and C - Reactive Protein (CRP) in the diagnosis of acute appendicitis. All patients above the age of 15 years diagnosed clinically to have acute appendicitis and subjected to appendicectomy were included. Patients with history of recurrent pain in right iliac fossa, patients with appendicular mass or peritonitis and concomitant conditions where C-reactive protein or Leukocyte Count is elevated were excluded. Results: There are about 80.6% cases of acute appendicitis, 2.3% appendicular mass, 8.4% complicated acute appendicitis, 8.0% malignancy and 0.8% others. CRP level had a sensitivity of 86.27% and specificity of 66.67% in predicting acute appendicitis. Total leucocyte count had a sensitivity of 87.65% and specificity of 100% in predicting acute appendicitis. Conclusion: Inflammation is known to cause an increase in CRP, but after complications have occurred, this increase is much more pronounced. The measurement of CRP or the counting of leucocytes on their own could be sufficient to prevent negative appendectomies.
{"title":"The role of total leucocyte count and C reactive protein in assisting with the diagnosis of acute appendicitis","authors":"D. Goutham, Dr. Najeem Fazil, Dr. Natasha Mathias","doi":"10.33545/surgery.2023.v7.i2a.994","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i2a.994","url":null,"abstract":"Introduction: Once patients present with pain in the right lower quadrant, one of the most common surgical conditions that they have to treat is acute appendicitis. Our aim is to study the value of preoperative C - reactive protein and total leucocyte count in diagnosing acute appendicitis and to correlate its value in grading of acute appendicitis as compared to Histopathological reports. Material and Methods: This is hospital based retrospective comparative study conducted in the Department of General Surgery at Yenepoya Medical College and Hospitals, Mangalore, a period of 5 years from, 2014-2019, to evaluate the accuracy of total leukocyte count and C - Reactive Protein (CRP) in the diagnosis of acute appendicitis. All patients above the age of 15 years diagnosed clinically to have acute appendicitis and subjected to appendicectomy were included. Patients with history of recurrent pain in right iliac fossa, patients with appendicular mass or peritonitis and concomitant conditions where C-reactive protein or Leukocyte Count is elevated were excluded. Results: There are about 80.6% cases of acute appendicitis, 2.3% appendicular mass, 8.4% complicated acute appendicitis, 8.0% malignancy and 0.8% others. CRP level had a sensitivity of 86.27% and specificity of 66.67% in predicting acute appendicitis. Total leucocyte count had a sensitivity of 87.65% and specificity of 100% in predicting acute appendicitis. Conclusion: Inflammation is known to cause an increase in CRP, but after complications have occurred, this increase is much more pronounced. The measurement of CRP or the counting of leucocytes on their own could be sufficient to prevent negative appendectomies.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74874311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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